The health care provider has written 'Morphine sulfate 2 mgs IV every 3-4 hours prn for pain' on the chart of a child weighing 22 lb. (10 kg). What is the nurse's initial action?

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Question 1 of 5

The health care provider has written 'Morphine sulfate 2 mgs IV every 3-4 hours prn for pain' on the chart of a child weighing 22 lb. (10 kg). What is the nurse's initial action?

Correct Answer: B

Rationale: Dose is potentially unsafe (low for weight); provider clarification is needed.

Question 2 of 5

A client arrived in the USA from a developing country 1 week ago. The client is to be admitted to the medical surgical unit with a diagnosis of AIDS. There is a history of these findings: unintended weight loss, drug abuse, night sweats, productive cough and a 'feeling of being hot all the time.' The nurse should assign the client to share a room with a client with the diagnosis of

Correct Answer: A

Rationale: Both clients require airborne precautions (TB risk in AIDS); co-assignment minimizes isolation needs.

Question 3 of 5

The nurse is assessing a young child at a clinic visit for a mild respiratory infection. Koplik spots are noted on the oral mucous membranes. The nurse should then assess which area of the body?

Correct Answer: A

Rationale: Koplik spots indicate measles; a rash typically follows on the skin.

Question 4 of 5

A postpartum client admits to alcohol use throughout the pregnancy. Which of the following newborn findings suggests to the nurse that the infant has fetal alcohol syndrome?

Correct Answer: C

Rationale: Fetal alcohol syndrome classically presents with facial dysmorphia (e.g., smooth philtrum, thin lip).

Question 5 of 5

The nurse is teaching a 27 year-old client with asthma about their therapeutic regime. Which statement would indicate the need for additional instruction?

Correct Answer: C

Rationale: Exercise should be encouraged with proper asthma control, not limited, indicating misunderstanding.

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